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Prescription Written by a Physician is Required for Medical Supplies

May 25, 2017

Effective for dates of service on or after July 1, 2017, claims for covered medical and incontinence supplies and enteral nutrition products provided upon a prescription are eligible for reimbursement only if the prescription is written by a physician. Title 42 Code of Federal Regulations (CFR) 440.70 requires Medicaid programs only reimburse providers for medical supplies and enteral nutrition products that are ordered by a physician. In addition, the regulation requires a recipient’s need for medical supplies be reviewed by a physician annually.